A/B testing remains the standard for rolling out new features in the technology industry. Each experiment, however, consumes real traffic, engineering effort, and weeks of wall-clock time. Can AI agents---conditioned on behavioral profiles and contextual descriptions of the intervention---simulate outcomes accurately enough to vet candidate treatments before committing live traffic? We formalize this question as a \emph{Simulated Randomized Controlled Trial} (S-RCT) and derive a two-layer error decomposition that separates agent approximation error from subsampling error, enabling targeted improvements to each. The framework is agent-agnostic: any behavioral model---from a fine-tuned specialist to a general-purpose foundation model---can serve as the simulation engine. Validated on 67 historical marketing A/B tests, a baseline S-RCT using an off-the-shelf foundation model captures directional signal (sign overlap 0.70) but systematically overshoots effect magnitudes. A two-phase pre-period calibration protocol reduces the squared prediction error (after removing irreducible measurement noise) by ${\sim}77\times$; a within-subject design---where each agent is exposed to both arms---reduces standard errors by ${\sim}2.4\times$. We discuss limitations of the current approach and identify applications where experimenters stand to benefit from agentic signals.

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